Medicare Supplement Plans - Status Tracker | Mutual of Omaha

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Important Disclosure Information

This is a solicitation of insurance and a licensed agent/producer may contact you.

Not connected with or endorsed by the U.S. government or the federal Medicare program.

Medicare supplement insurance policies are underwritten by Mutual of Omaha Insurance Company, 3300 Mutual of Omaha Plaza, Omaha, NE 68175. Policy Forms MM20, MM21, MM22, MM23, MM24, MM25, MM30, MM34, MM35, MM36 or state equivalent. In ND: MM20R-25972, MM24R-25973, MM25R-25974, MM35R-25976, MM36R-25975; in NY, MM20-21669, MM21-21670, MM22-22407, MM23-22408, MM24-21671, MM25-21672, MM30-22503; in OK: MM20-25664, MM24-25665, MM25-25666, MM35-25668, MM36-25667; in VA, MM20-25669, MM24-25670, MM25-25671, MM35-25673, MM36-25672, app MA6026-44. Not all policy forms may not be available in every state. Select policy forms are only available to individuals who turn 65 before January 1, 2020.

AN OUTLINE OF COVERAGE IS AVAILABLE UPON REQUEST. The Guide to Health Insurance for People with Medicare is also available from your state Department of Insurance or the Centers for Medicare and Medicaid Services.

Your Medicare supplement insurance policy has the following exclusions and will not pay for: expenses you incur while your policy is not in force; except as provided in the EXTENSION OF BENEFITS section; your confinement in a hospital or skilled nursing facility during a Medicare Part A benefit period that begins while your policy is not in force; any expense you incur which is paid for by Medicare; any expense that is payable under any other insurance plan, policy, or certificate, or any employee benefit plan, which pays benefits on an expense-incurred basis; non-Medicare-eligible expenses, including, but not limited to, routine exams, take-home drugs, and eye refractions; services for which a charge is not normally made in the absence of insurance; or loss or expense that is payable under another Medicare supplement insurance policy or certificate. Coverage may vary by state.

In some states, if you receive Medicare benefits because of a disability, you may apply for a Medicare supplement insurance policy regardless of your age.

Your coverage starts on the policy date 12:01 a.m. where you reside. It ends at 12:01 a.m. where you reside on the first policy renewal date. Each time you renew your policy by paying the premium within the 31-day grace period, a new term begins when the old term ends. You may cancel your policy at any time by giving us written notice. Your policy will terminate on the earliest of the date we receive your request to cancel the policy, your coverage is replaced by another Medicare supplement insurance policy, the required premium has not been paid before the end of the grace period or the date of your death. In the event of cancellation or death, we will promptly return the unearned portion of any premium paid. Termination will not affect any claim that began while your policy was in force.

IMPORTANT NOTICE — A CONSUMER'S GUIDE TO HEALTH INSURANCE FOR PEOPLE ELIGIBLE FOR MEDICARE MAY BE OBTAINED FROM YOUR LOCAL SOCIAL SECURITY OFFICE OR FROM THIS INSURER.

GA residents: THIS IS A LIMITED POLICY DESIGNED TO COVER ONLY THOSE MEDICARE-APPROVED EXPENSES WHICH MEDICARE DOES NOT COVER.

In ND, Plans A, F, G, HDG and N are also available.

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